Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,081.04 / $2,081.04 / $2,081.04	Facility		$2,081.04	$2,081.04	$2,081.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,741.86 / $2,081.04 / $5,008.22	Professional		$1,741.86	$2,081.04	$5,008.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,600.58 / $4,687.07 / $5,858.83	Professional		$3,600.58	$4,687.07	$5,858.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,746.33 / $3,445.57 / $4,956.37	Facility		$2,746.33	$3,445.57	$4,956.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,941.45 / $4,043.24 / $19,923.77	Professional		$1,941.45	$4,043.24	$19,923.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,001.36 / $4,774.09 / $6,523.96	Facility		$3,001.36	$4,774.09	$6,523.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,001.36 / $4,043.37 / $5,667.35	Professional		$3,001.36	$4,043.37	$5,667.35
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,367.96 / $3,255.66 / $4,121.39	Professional		$2,367.96	$3,255.66	$4,121.39
United Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $4,500.00	Facility		$4,500.00	$4,500.00	$4,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,933.40 / $3,772.21 / $5,867.88	Professional		$1,933.40	$3,772.21	$5,867.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $4,088.60 / $5,002.50 / $5,002.50	Professional		$4,088.60	$5,002.50	$5,002.50